MR. ALVIN BLACKMON III PHARMD
NPI 1104125095
Pharmacist - Nuclear in Fort Gordon, GA

Active since March 18, 2011
300 W HOSPITAL RD, FORT GORDON, GA 30905(706) 787-7763 Get Directions Write a Review

NPPES record last updated: March 18, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Alvin Blackmon Iii Pharmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ALVIN BLACKMON III PHARMD (NPI 1104125095) is an individual nuclear provider in Fort Gordon, Georgia, licensed in Virginia (0202205702) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1104125095
Entity TypeIndividualMale
Primary Taxonomy1835N0905X
Provider Legal NameMR. ALVIN BLACKMON IIICredential: PHARMD
Location Address300 W HOSPITAL RDFort Gordon, GA 30905-5741
Mailing Address300 W Hospital RdFort Gordon, GA 30905-5741 · (706) 787-7763
Sole ProprietorNo
Enumeration DateMarch 18, 2011
NPI 1104125095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · NuclearPharmacy Service Providers
Taxonomy Code1835N0905X
Licenses Licensed in VA · 0202205702 Licensed in LA · 017025
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in procurement, compounding, quality control testing, dispensing, distribution, and monitoring of radiopharmaceuticals.
300 W HOSPITAL RD, Fort Gordon, GA 30905

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Social Worker (Clinical)
300 W HOSPITAL RD, DDEAMC
FORT GORDON, GA 30905
Internal Medicine
300 W HOSPITAL RD
FORT GORDON, GA 30905
Nurse Practitioner (Adult Health)
300 W HOSPITAL RD, CONNELLY HEALTH CLINIC
FORT GORDON, GA 30905
Psychiatry & Neurology (Vascular Neurology)
300 W HOSPITAL RD
FORT GORDON, GA 30905
Military Hospital
300 W HOSPITAL RD
FORT GORDON, GA 30905
Pharmacist
300 W HOSPITAL RD
FORT GORDON, GA 30905
Registered Nurse (Pain Management)
300 W HOSPITAL RD
FORT GORDON, GA 30905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alvin Blackmon's NPI number?

The NPI number for Alvin Blackmon is 1104125095. It was assigned to this individual provider in the NPPES registry on March 18, 2011.

Where is Alvin Blackmon located?

Alvin Blackmon practices at 300 W Hospital Rd, Fort Gordon, GA 30905. The listed phone number is (706) 787-7763.

What is Alvin Blackmon's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Nuclear, with taxonomy code 1835N0905X.

When was this NPI record last updated?

The NPPES record for Alvin Blackmon was last updated on March 18, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.